Children’s Health Services Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Pediatrics. 2012 Sep;130(3):522-30. doi: 10.1542/peds.2012-0140. Epub 2012 Aug 27.
Herd immunity is an important benefit of childhood immunization, but it is unknown if the concept of benefit to others influences parents' decisions to immunize their children. Our objective was to determine if the concept of "benefit to others" has been found in the literature to influence parents' motivation for childhood immunization.
We systematically searched Medline through October 2010 for articles on parental/guardian decision-making regarding child immunization. Studies were included if they presented original work, elicited responses from parents/guardians of children <18 years old, and addressed vaccinating children for the benefit of others.
The search yielded 5876 titles; 91 articles were identified for full review. Twenty-nine studies met inclusion criteria. Seventeen studies identified benefit to others as 1 among several motivating factors for immunization by using interviews or focus groups. Nine studies included the concept of benefit to others in surveys but did not rank its relative importance. In 3 studies, the importance of benefit to others was ranked relative to other motivating factors. One to six percent of parents ranked benefit to others as their primary reason to vaccinate their children, and 37% of parents ranked benefit to others as their second most important factor in decision-making.
There appears to be some parental willingness to immunize children for the benefit of others, but its relative importance as a motivator is largely unknown. Further work is needed to explore this concept as a possible motivational tool for increasing childhood immunization uptake.
群体免疫是儿童免疫接种的一个重要益处，但目前尚不清楚“对他人有益”这一概念是否会影响父母为孩子接种疫苗的决定。我们的目的是确定“对他人有益”这一概念是否已在文献中被发现会影响父母为孩子进行免疫接种的动机。
我们通过 Medline 系统地检索了截至 2010 年 10 月的关于父母/监护人对儿童免疫接种决策的文章。如果研究报告了原始工作、从<18 岁儿童的父母/监护人那里获得了回应，并涉及为他人利益为儿童接种疫苗，那么这些研究就符合纳入标准。
搜索结果得到了 5876 个标题；有 91 篇文章被确定为全文审查。符合纳入标准的研究有 29 项。其中 17 项研究通过访谈或焦点小组确定了为他人利益是免疫接种的几个动机因素之一。9 项研究在调查中包含了“为他人利益”这一概念，但没有对其相对重要性进行排名。在 3 项研究中，将“为他人利益”的重要性与其他动机因素进行了相对排名。有 1%至 6%的父母将“为他人利益”列为为孩子接种疫苗的首要原因，而 37%的父母将“为他人利益”列为决策的第二重要因素。
似乎有一些父母愿意为了他人的利益为孩子接种疫苗，但作为一个激励因素，其相对重要性在很大程度上是未知的。需要进一步研究这一概念，以探索其作为增加儿童免疫接种率的一种可能的激励工具。
